Rates› D5226

Lower Partial Denture — Flexible Base (D5226) — National Rates

Negotiated reimbursement rates for D5226 across 50 states, sourced from CMS Transparency in Coverage data. 690 rate records.

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National Average Negotiated Rate
$965
690 rate records · 50 states
📊 Data updated monthly · Last refresh: March 2026

About D5226 — Lower Partial Denture — Flexible Base

CDT Code D5226 covers Lower Partial Denture — Flexible Base. The national average negotiated rate is $965. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D5226

New Hampshire
$1,463
7 records
Nevada
$1,398
18 records
Alaska
$1,266
2 records

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Full National Breakdown

Median
$905
Low
$83
High
$2,410

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
New Hampshire$1,463
Nevada$1,398
Alaska$1,266
Arizona$1,237
Massachusetts$1,210

↓ Bottom 5

StateAvg Rate
West Virginia$670
Kentucky$664
Nebraska$635
Montana$632
Wyoming$625

All States — D5226 Average Rates

New Hampshire
$1,463
Nevada
$1,398
Alaska
$1,266
Arizona
$1,237
Massachusetts
$1,210
Minnesota
$1,144
Virginia
$1,135
Florida
$1,133
Colorado
$1,126
New Jersey
$1,123
Washington
$1,106
California
$1,084
New Mexico
$1,083
Connecticut
$1,059
Maine
$1,043
Utah
$1,028
Delaware
$1,013
Ohio
$1,006
Wisconsin
$1,002
Oregon
$988
Georgia
$973
Iowa
$940
Arkansas
$930
South Carolina
$924
Mississippi
$897
Texas
$890
Louisiana
$871
Michigan
$867
Illinois
$863
New York
$859
Hawaii
$851
North Dakota
$829
Rhode Island
$828
Maryland
$827
Puerto Rico
$822
Alabama
$820
Kansas
$800
District of Columbia
$786
Oklahoma
$779
North Carolina
$779
Indiana
$771
Pennsylvania
$756
Missouri
$722
Idaho
$684
Tennessee
$672
West Virginia
$670
Kentucky
$664
Nebraska
$635
Montana
$632
Wyoming
$625
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
New Hampshire$1,463$1,648$826$1,6487
Nevada$1,398$1,424$770$1,91918
Alaska$1,266$1,266$1,157$1,3762
Arizona$1,237$1,351$568$1,35118
Massachusetts$1,210$1,339$723$1,64810
Minnesota$1,144$1,196$674$1,6656
Virginia$1,135$1,107$606$1,57415
Florida$1,133$1,138$619$1,54751
Colorado$1,126$1,207$733$1,44624
New Jersey$1,123$1,060$703$1,41721
Washington$1,106$1,136$782$1,41110
California$1,084$1,024$572$1,81679
New Mexico$1,083$1,075$905$1,2855
Connecticut$1,059$992$703$1,4006
Maine$1,043$996$830$1,3514
Utah$1,028$1,052$905$1,1006
Delaware$1,013$1,013$908$1,1182
Ohio$1,006$966$755$1,3688
Wisconsin$1,002$973$777$1,2499
Oregon$988$988$637$1,3402
Georgia$973$1,024$606$1,18627
Iowa$940$964$796$1,0036
Arkansas$930$930$930$9301
South Carolina$924$884$503$1,49426
Mississippi$897$897$783$1,0112
Texas$890$843$637$1,44332
Louisiana$871$809$658$1,2805
Michigan$867$839$839$1,08412
Illinois$863$842$684$1,32513
New York$859$723$549$2,41032
Hawaii$851$810$770$9996
North Dakota$829$829$634$1,0242
Rhode Island$828$691$691$1,1023
Maryland$827$703$565$1,29432
Puerto Rico$822$822$822$8221
Alabama$820$791$711$97410
Kansas$800$702$572$1,1756
District of Columbia$786$703$606$9625
Oklahoma$779$779$685$8732
North Carolina$779$817$606$1,20945
Indiana$771$687$606$1,0565
Pennsylvania$756$637$595$1,17617
Missouri$722$611$568$1,18051
Idaho$684$660$537$9055
Tennessee$672$568$568$1,11710
West Virginia$670$670$670$6701
Kentucky$664$582$568$8498
Nebraska$635$635$635$6351
Montana$632$632$632$6323
Wyoming$625$625$625$6251
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